F 0583
Keep residents' personal and medical records private and confidential.
Level of Harm - Minimal harm
or potential for actual harm
Based on observations record review an interview, the facility failed to safeguard and ensure privacy of
residents' confidential Electronic Health Records (EHR); as evidenced by one out of four of the facility's
medication carts' computer screen was left unlocked and unattended revealing residents' information. There
were 88 residents residing in the facility at the time of the survey.
Residents Affected - Few
The findings include:
Observational tour of the facility on 02/25/25 at 07:21 AM revealed, the computer screen on unattended
Medication Cart Two located on the South station was left unlocked with residents' Electronic Medication
Administration Records (EMAR) visible. There were no nurses or other staff attending to the cart at the
time.
Interview on 02/25/25 at 08:20 AM, Registered Nurse (Staff B) stated: I know my EMAR screen on the
South Medication Cart is supposed to be locked, I was rushing to go help a resident and forgot to lock the
cart.
Interview on 02/26/25 at 09:45 AM, the Director of Nursing was informed of the privacy and Health
Insurance Portability and Accountability Act (HIPAA) concerns identified.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
105575
Printed: 05/28/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
105575
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/27/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Palmetto Care Center and Rehab
6750 West 22nd Court
Hialeah, FL 33016
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, record review and interview the facility failed to follow infection prevention and control
procedures for Resident #183. As evidenced by Resident #183's Spirometer was observed at Resident
#183's bedside with no protective covering.
Residents Affected - Few
The findings included:
On 02/24/25 at 07:52 AM, Resident #183 was observed in bed asleep, there was a Spirometer with no
protective covering on the overbed table.
Observation in Resident #183's room on 02/24/25 at 10:09 AM, the uncovered Spirometer was on the
bedside table.
Observation on 02/25/25 at 09:00 AM, Resident #183 was in her room sitting in wheelchair; the Spirometer
on the bedside table was not in a protective covering. Resident #183 revealed she used the Spirometer
occasionally.
Interview on 02/25/25 at 09:13 AM, Licensed Practical Nurse (LPN), (Staff A) revealed she is assigned to
Resident #183, and the Spirometer should be stored in a dated zippered bag when not in use for infection
control reasons/issues.
Review of Resident #183's medical records revealed the resident was admitted to the facility on [DATE].
Clinical diagnoses included but not limited to: Chronic Obstructive Pulmonary Disease.
Interview on 02/26/25 at 09:47 AM, the Director of Nursing (DON) revealed; when a resident's equipment is
not being used, it is supposed to be stored in a [brand zippered bag] with the date it is replaced for infection
control purposes and to protect the resident.
Review of the facility policy and procedure titled Infection Prevention and Control, Revision date December
2023 states: The facility adopted infection prevention and control policies and procedures are intended to
help maintain a safe, sanitary, and comfortable environment and to help prevent and manage transmission
of diseases and infections. Policy Interpretation and Implementation: All personnel are trained on infection
prevention and control policies and procedures upon hire and periodically thereafter, including where and
how to find and use pertinent procedures and equipment related to infection control.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105575
If continuation sheet
Page 2 of 2
